Two cases brought against an Alabama-based hospice company will result in an almost $6 million settlement payment. In two whistleblower complaints filed in 2013 by two former employees, one of which who worked as a clinical director in a Pennsylvania branch, SouthernCare Inc. is accused of wrongly billing Medicare for unnecessary hospice care. When the federal government decided to intervene in September of 2016, the cases were combined.
The complaints against SouthernCare include allegations that the company put patients in their hospice program who weren’t terminally ill in order to submit claims for the more expensive treatment to the government health insurance plan for seniors. SouthernCare denies the claims but did promise to pay almost $6 million to clear up the allegations. The two whistleblowers, Dawn Hamrock and Patricia Beegle, will share slightly more than $1 million of that, according to the settlement agreement.
Hamcock, the former Pennsylvania clinical director who resigned from the company in 2012, raised questions prior to her resignation regarding the way in which SouthernCare was handling Medicare claims.